PDF LP Meningoensefalitis Megawati Yunus - Compress

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K. _ldflrtikd
Hldidfitis hlrupkakd pldykait plrkikdfkd pkik sl`kput gtka, slikdfakd
ldslbk`itis kik`kc pldykait plrkikdfkd pkik gtka. Ik`kh mlmlrkpk
aksus aliuk pldykait idi ikpkt tlrjkii mlrskhkkd ykdf iialdk`
ildfkd dkhk hldidfgldslbk`itis. Hldidfgldslbk`itis hlrupkakd pldykait
ykdf hldylrkdf sistlh skrkb puskt ykdf ikpkt iislmkmakd g`lc virus,
mkatlri, tumlrau`gsis, ktkupud jkhur. _ldykait idi ikpkt hldfldki sikpk skjk,
tlrutkhk hlrlak ykdf hlhi`iai ikyk tkckd tumuc ykdf aurkdf,
hisk`dyk kdka-kdka, pldilritk

hk`dutrisi, `kdsik, ikd grkdf-grkdf ildfkd pldykait ykdf hldurudakd sistlh


ihud tumuc (ihhudgjghprghisli) (Zltik, =0;6).
;. Hldidfitis
Hldidfitis kik`kc rkikdf pkik hldidfld (hlhmrkd
ykdf hldfl`i`idfi gtka ikd hliu`k spidk`is) ikd iislmkmakd g`lc
virus,
 mkatlri ktku grfkdgrfkd jkhur . Hldidfitis hlrupkakd id!lasi kaut
ikri hldidfls, mikskdyk iitihmu`akd g`lc sk`kc sktu
ikri hiarggrfkdishl pdluhgaga, hldidfgaga, stkbi`gaga,
strlptgaga, clhgpci`us idb`uldzk ikd mkckd Kslptis virus.
Hldidfitis kik`kc

 plrkikdfkd pkik sl`kput hldidfld, jkirkd slrlmrgspidk` ykdf


hldylmkmakd prgsls idblasi pkik sistlh skrkb puskt (Zltik, =0;6).
Hldidfitis mkatlrik` ikpkt mlrkaimkt bktk` pkik <0% pksild skkt
tiika iitkdfkdi. Mkcakd ildfkd iikfdgsis iidi ikd iitkdfkdi ildfkd
 pldkdfkdkd ykdf tlpkt 3-;<% pksild hldidffk` ik`kh aurud wkatu
=9-93 jkh sltl`kc gdslt tihmu`dyk fljk`k. Zlmkdyka ;0-=0% pksild
ykdf sl`khkt kakd rldtkd hldfk`khi alruskakd gtka, fkdffukd
 ml`kjkr, ikd fkdffukd pldildfkrkd (Vgr`i Clk`tc Grfkdizktigd,
=0;6).

=. Ldslbk`itis
Ldslbk`itis kik`kc rkikdf jkridfkd gtka ykdf ikpkt
iislmkmakd g`lc mkatlri, jkjidf, prgtgzgk, jkhur, rijaltsik ktku virus.
Ldslbk`itis kik`kc idblasi ykdf hldfldki systlh skrkb puskt
(ZZ_) ykdf

iislmkmakd g`lc virus ktku hiarggrfkdishl `kid ykdf dgdpuru`ld.


_ldylmkm tlrslridf ikri ldslbk`itis kik`kc virus alhuiikd
clrpls sihp`las, krmgvirus, ikd jkrkdf iislmkmakd g`lc ldtlrgvkrius,
huhps, ikd kildgvirus. Ldslbk`itis miks jufk tlrjkii pksjkidblasi
jkhpka, idb`uldzk, vkrijl``k, ikd pksjk vkasidksi plrtussis (Dlrk,
=0;>).
Ldslbk`itis kik`kc idblasi jkridfkd plrldaih gtka g`lc mlrmkfki
hkjkh hiarggrfkdishl. _kik ldjlpck`itis tlrjkii plrkikdfkd jkridfkd
gtka ykdf ikpkt hldfldki sl`kput plhmudfaus gtka skhpki ildfkd
hliu`k spidk`is. ldjlpck`itis kik`kc idblasi ykdf hldfldki
JDZ

ykdf iislmkmakd g`lc virus ktku hiarggrfkdishl `kid


ykdf hldylmkmakd idb`i`trksi `ihbgsitia ykdf aukt pkik jkridfkd
gtka ikd
`lptghldidfld hldylmkmakd lilhk slrlmrk`, ilfldkrksi sl` fkdf`igd
gtka ikd alckdjurkd sl` skrkb iibusi (Dlrk, =0;>).
M. Ltig`gfi
;. Hldidfitis hldurut Lak, (=0=0) ykitu
k. Mkatlri1 Hyjgmkjtlriuh tumlrju`gsk, Iip`gjgjjus pdluhgdikl
(pdluhgaga), Dlisslrik hldidfitis (hldidfgaga), Ztrlptgjgjus
cklhg`ytijuss, Ztkpcy`gjgjjus kurlus, Cklhgpci`us
idb`uldzkl,

 Lsjclrijcik jg`i, A`lmsil``k pdluhgdikl, _luighgdks klrufidgsk


 m. _ldylmkm `kiddyk `uls, virus, Ygxgp`kshk fgdicii ikd ]ijaltsik
j. Bkatgr prliispgsisi 5 jldis al`khid `kai-`kai `lmic slridf
iimkdiidfakd ildfkd wkditk
i. Bkatgr hktlrdk` 5 ruptur hlhmrkd !ltk`, id!lasi hktlrdk`
pkik hidffu tlrkacir alckhi`kd
l. Bkatgr ihudg`gfi5 ilbisildsi hlakdishl ihud, ilbisildsi
ihhudgf`gmu`id
b. Al`kidkd sistlh skrkb puskt, plhmlikckd ktku idjury ykdf
 mlrcumudfkd ildfkd sistlh plrskrkbkd
=. Ldslbk`itis
Mlrmkfki hkjkh hiarggrfkdishl ikpkt hldylmkmakd
ldslbk`itis, hisk`dyk mkatlri prgtgzgk, jkjidf, jkhur,
spirgxckltk ikd virus.

_ldylmkm tlrpldtidf ikd pk`idf slridf kik`kc virus. Ndblasi ikpkt tlrjkii
akrldk virus `kdfsudf al gtka ktku rlkasi rkikdf kaut akrldk id!lasi
sistlhia ktku vkasidksi tlrikcu`u (Il`k, =0;>).
Hkjkh-hkkh ldslbk`itis virus hldurut Il`k, (=0;>). ykitu 5
k. Ndblasi virus ykdf mlrsibkt lpiilhij
 m. Ndblasi virus ykdf mlrsibkt spgrkiij
j. Ldslbk`itis pksjk idblasig, pksjk hgrmi`i, ikd pksjk vkrisl`.
J. A`ksibiaksi
;. Hldidfitis

Hldidfitis iimkfi hldjkii = fg`gdfkd mlrikskrakd plrumkckd ykdf


tlrjkii pkik &kirkd gtka, ykitu5
k. Hldidfitis slrgsk
Kik`kc rkikdf sl`kput gtka krkadgii ikd pikhltlr ykdf iislrtki jkirkd
gtka ykdf jlrdic. _ldylmkm tlrslridfdyk kik`kc
Hyjgmkjtlriuh tumlrju`gsk. _ldylmkm `kiddyk `uls, Rirus,
Ygxgp`kshk fgdicii ikd
 ]ijaltsik.
 m. Hldidfitis puru`ldtk
Kik`kc rkikdf mlrdkdkc krkacdgii ikd pikhltlr ykdf hl`iputi gtka 

ikd hliu`k spidk`is. _ldylmkmdyk kdtkrk `kid 5  Iip`gjgjjus


 pdluhgdikl (pdluhgaga), Dlisslrik hldidfitis (hldidfgaga),
Ztrlptgjgjus cklhg`ytijuss, Ztkpcy`gjgjjus kurlus, Cklhgpci`us
idb`uldzkl, Lsjclrijcik jg`i, A`lmsil``k pdluhgdikl,
_luighgdks klrufidgsk.

=. Ldslbk`itis
Ldslbk`itis idi iislmkmakd kdtkrk `kid g`lc virus, mkatlri, jkhur,
rijaltsik (hksua hl`k`ui fifitkd autu), ikd pkrksit. Al`ihkdyk ikpkt
iia`ksibiaksi slmkfki mlriaut 5

k. Ldslbk`itis Zupurktivk
Mkatlri pldylmkm ldslbk`itis supurktivk kik`kc 5
Ztkpcy`gjgjjus kurlus, Ztrlptgjgjjus, L. Jg`i ikd H. Yumlrju`gsk.
Hkdiblstksi a`idis 5 Zljkrk uhuh fljk`k mlrupk triks Ldslbk`itis 5
ilhkh, aljkdf ikd pldurudkd alskikrkd. Mi`k mlralhmkdf hldjkii
kmsls slrlmri kakd tihmu` fljk`k-fljk`k idblasi uhuh, tkdik-tkdik
hldidfaktdyk tlakdkd idtrkarkdik` ykitu 5 dylri alpk`k ykdf argdia 
ikd prgfrlsib, hudtkc, pldf`icktkd akmur, aljkdf,
alskikrkd hldurud, pkik plhlriaskkd hudfaid tlrikpkt lilhk
pkpi`. Ykdik-

tkdik ilbisit dlurg`gfis tlrfkdtudf pkik `gaksi ikd `uks kmsls.


 m. Ldslbk`itis Zibi`is
Iislmkmakd g`lc Yrlpgdlhk pk``iiuh. Fljk`k Ldslbk`itis
sibi`is tlriiri ikri iuk mkfikd 5
;) Fljk`k-fljk`k dlurg`gfis, aljkdf-aljkdf ykdf iktkdf
ik`kh slrkdfkd-slrkdfkd, kbksik, kprkasik, clhikdgpsik,
pldurudkd alskikrkd, slridf iijuhpki pupi` Kfry``-
]gmlrtsgd, dlrvus gptijus ikpkt hldfk`khi ktrgbi. _kik
stkiiuh kacir tihmu` fkdffukdkdfkdffukd hgtgria ykdf
prgfrlsib.

=) Fljk`k-fljk`k hldtk`, tihmu`dyk prgsls iihldsik


ykdf
 prgfrlsib, idtl`fldsik ykdf hudiur plr`kckd-`kckd ykdf
hu`k-hu`k tkhpka pkik aurkdf lblatibdyk alrjk,
ikyk agdsldtrksi hudiur, ikyk idfkt mlraurkdf, ikyk
pldfakjikd tlrfkdffu.

j. Ldslbk`itis Rirus
Rirus ykdf ikpkt hldylmkmakd rkikdf gtka pkik hkdusik 5
;) Rirus ]DK
k)  _krkhiasg virus 5 virus ykdf hldylmkmakd pkrgtitis,

hgrmi`i
 m)  ]kmigvirus 5 virus rkmils
j) Yufkvirus 5 virus ruml``k b`kvivirus (virus Ldslbk`itis
Elpkdf M, virus ildful)
i)  _ijgrdkvirus 5 ldtlrgvirus (virus pg`ig, jgjasjkail K
ikd M, ljcgvirus)
l)  Krldkvirus 5 virus agrighldidfitis `ihbgsitgrikm.
=) Rirus IDK
k) Clrpls virus 5 clrpls zgstlr - vkrisl``k, clrpls

 sihp`las, sitghlfk`i virus, virus Lpstlid ‚ mkrr 


 m) _gxvirus 5 vkrig`k, vkasidik
j) ]ltrgvirus 5 KNIZ
Hkdiblstksi a`idis 5 Iihu`ki ildfkd ilhkh, dylri
alpk`k, vlrtifg, dylri mkikd, dkuslk,
pldurudkd alskikrkd, tihmu` slrkdfkd
aljkdfaljkdf, akau auiua, clhipkrlsis ikd
pkrk`ysis mu`mkris.
i. Ldslbk`itis Akrldk _krksit
;) Hk`krik Zlrlmrk`

_`kshgiiuh bk`sibkruh pldylmkm tlrjkiidyk


hk`krik slrlmrk`. Fljk`k-fljk`k ykdf tihmu` 5
ilhkh
tidffi.alskikrkd hldurud cidffk aghk.
Al`kidkd dlurg`gfia tlrfkdtudf pkik `gaksi alruskakd-
alruskakd.
=) Ygxgp`kshgsis
Ygxgp`kshk fgdiii  pkik grkdf ilwksk mikskdyk
tiika  hldihmu`akd fljk`k-fljk`k aljuk`i ik`kh alkikkd
ildfkd ikyk ihuditks hldurud. Iiik`kh tumuc hkdusik
pkrksit idi ikpkt mlrtkckd ik`kh mldtua aistk tlrutkhk
ii gtgt ikd

 jkridfkd gtka.
:) Khlmiksis
Khumk fldus  Dklf`lrik ikpkt hksua al tumuc
hl`k`ui ciiudf altiak mlrldkdf ii kir ykdf tlridblasi ikd
alhuiikd

hldihmu`akd Hldidfgldslbk`itis kaut. Fljk`k-


fljk`kdyk kik`kc ilhkh kaut, dkuslk, hudtkc, dylri
alpk`k, akau
auiua ikd alskikrkd hldurud.
l. Ldslbk`itis Akrldk Budfus (Ekhur)
Budfus ykdf ikpkt hldylmkmakd rkikdf kdtkrk `kid 5
Jkdiiik k`mijkds, Jryptgjgjjus dlgbgrhkds, Jgjjiiigiis,
Ksplrfi``us,
 Buhkfktus ikd  Hujgr hyjgsis. Fkhmkrkd ykdf
iitihmu`akd idblasi budfus pkik sistih skrkb puskt ik`kc
Hldidfg-ldslbk`itis
 puru`ldtk. Bkatgr ykdf hlhuikcakd tihmu`dyk idblasi kik`kc ikyk

ihuditks ykdf hldurud.


b. ]ialtsigsis Zlrlmri
]ialtsik ikpkt hksua al ik`kh tumuc hl`k`ui fifitkd autu ikd ikpkt
hldylmkmakd Ldslbk`itis. Fljk`k-fljk`kdyk ik`kc dylri
alpk`k, ilhkh, hu`k-hu`k suakr tiiur, alhuiikd alskikrkd
hldurud. Fljk`k-fljk`k dlurg`gfia hldudjuakd `lsi ykdf
tlrslmkr (Il`k,
=0;>)
I. _ktgbisig`gfi
;. Hldidfitis

Hldidfitis tlrjkii kaimkt ikri pldylmkrkd pldykait ii grfkd ktku jkridfkd


tumuc ykdf `kid. Rirus ktku mkatlri hldylmkr sljkrk clhktgfld skhpki al
sl`kput gtka, hisk`dyk pldykait Bkridfitis, Ygdsi`itis, _dluhgdik,
ikd Mrgdjcgpdluhgdik. Hksuadyk grfkdishl hl`k`ui sl` ikrkc hlrkc
pkik m`ggi mrkid mkrrilr.  _ldylmkrkd grfkdishl misk tlrjkii kaimkt
prgsliur 
 plhmlikckd, pljkcdyk kmsls slrlmrk` ktku al`kidkd sistlh skrkb
puskt. Gtgrrclk ktku rcidgrrclk kaimkt brkatur ikskr tldfagrka
ykdf ikpkt hldihmu`akd hldidfitis, iihkdk tlrjkiidyk cumudfkd
kdtkrk JZB (Jlrlmrg-spidk` B`uii) ikd iudik `ukr. _lduhpuakd
pkik JZB kakd

 mlrtkhmkc ikd hldffkdffu k`irkd JZB ii slaitkr gtka ikd hliu``k spidk`is.
Hiarggrfkdishl hksua al susudkd skrkb puskt hl`k`ui rukdf
pkik sumkrkjcdgii slcidffk hldihmu`akd rlspgd plrkikdfkd slplrti pkik
vik, krkjcdgii, JZB, ikd vldtrial`. Lbla plrkikdfkd ykdf ii slmkmakd
g`lc

hiarggrfkdishl hldidfitis ykdf hldslarlsi tgasia ikd


tlrjkii`kc tgaslahik, slcidffk tlrjkii pldidfaktkd sucu g`lc
cipgtk`khus ykdf
hldylmkmakd sucu tumuc hldidfakt ktku tlrjkiidyk ciplrtlrhi (Zuiimyg,
Iaa. =0;>).
=. Ldslbk`itis
Zltl`kc hiarggrfkdishl hksua al tumuc hkdusik ykdf rldtkd,
hl`k`ui au`it, sk`urkd plrdkpkskd ikd sk`u`urkd jlrdk. Rirus hlduju
sistlh fltkc
 mldidf ikd mlralhmkdfmika. Rirus kakd hldylmkr hl`k`ui k`irkd ikrkc ikd
hldihmu`akd virlhik plrtkhk. Hl`k`ui k`irkd ikrkc virus kakd hldylmkr al

sistlh skrkb puskt ikd grfkd lastlrdlurk`. Alhuiikd virus ii`lpksakd ikd
hksua al ik`kh plrlikrkd ikrkc hldylmkmakd virlhik al iuk ykdf
 mlrskhkkd ildfkd pldylmkrkd idblasi pldykait sistlhia (Zuiimyg, Iaa.
=0;>).
Zltl`kc tlrjkiidyk virlhik, vius hldlhmus ikd mlralhmkdfmika pkik
ldigtl` vksau`kr ildfkd jkrk ldigsitgsis. Zlcidffk, ikpkt hldlhmus skwkd
gtka. Zltl`kc hldjkpki susudkd skrkb puskt virus mlalhmkdfmika ik`kh sl`
ildfkd jlpkt pkik rltiau`uh ldigp`kshk slrtk mkikd fg`fi
ykdf hldfckdjurakd hlrlak. Kaimkt idblasi virus tlrslmut hkak
plrhlkmi`itks

sl` dlurgd, fkdf`ik ikd ldigtl` hldidfakt. Zlcidffk jkirkd ii `ukr


sl` hksua al ik`kh ikd tihmu``kc lilhk sistgasia. Kikdyk
lilhk ikd
alruskakd pkik susudkd skrkb puskt idi hlhmlriakd hkdiblstksi
mlrupk Ldslbk`itis. Ildfkd hksk prgihgrk` mlr`kdfsudf ;-9 ckri. Krlk
gtka ykdf tlraldk ikpkt pkik tck`khus, fkdf`ik mksk`, mktkdf gtka,
cipgtk`khus ikd agrtlas slrlmrk.
Rirus-virus ykdf hldylmkmakd pkrgtitis, hgrmi`i, vkrisl`k hksua al ik`kh
tumuc hl`k`ui sk`urkd plrdkbkskd. Rirus pg`ig ikd ldtlrgvirus
hl`k`ui hu`ut, RCZ hl`k`ui hu`ut ktku huagsk al`khid, virus ykdf `kid
hksua al

tumuc hl`k`ui idgau`ksi slplrti fifitkd midktkdf (rkmils) ktku dykhua. Mkyi
ik`kh akdiudfkd hldikpkt idblasi hl`k`ui p`ksldtk g`lc virus ruml``k
ktku JHR.  Rirus hlhplrmkdyka iiri sljkrk `gak`, tlrjkii
virlhik ykdf hldylrkdf ZZ_ hl`k`ui akpi`kris ii p`lasus agrgiilus.
Jkrk `kid ik`kc

hl`k`ui skrkb plriblr (flrkakd sldtripltk`) hisk`dyk RZC, rkmils ikd clrpls
 zgstlr (Zuiimyg, Iaa. =0;>).
L. Hkdiblstksi A`idia 
;. Hldidfitis
Fljk`k a`idis ykdf tihmu` pkik hldidfitis mkatlrik` mlrupk skait alpk`k,
`lhkc, hldffifi`, ilhkh, huk`, hudtkc, dylri pudffudf, akau auiua,
aljkdf, plak pkik kwk` slrkdfkd, ikd alskikrkd hldurud hldjkii aghk.
Fljk`k hldidfitis kaut mlrupk midfudf, stupgr, slhi-aghk, pldidfaktkd
sucu tumuc slikdf, brlauldsi dkii ikd plrdkpkskd hldidfakt, tlakdkd

ikrkc mikskdyk dgrhk`, a`ild mikskdyk hldudjuaakd fljk`k


iritksi hldidflk` slplrti akau pkik `lclr, tkdik Mruizidasi
( Mruizidai„s sifd)
 pgsitib, ikd tkdik Alrdif ( Alrdif„s sifd) pgsitib 
=. Ldslbk`itis
Ldslbk`itis mikskdyk hlhplr`icktakd fljk`k kwk` ykdf irkhktis mlrupk
il`iriuh ikd pldurudkd prgfrlsib alskikrkd. Ikpkt tihmu` aljkdf ikd
flrkakdflrkakd kmdgrhk`. Zltl`kc hksk idaumksi aurkdf `lmic <-;0 ckri
kakd tlrjkii aldkiakd sucu ykdf hldikika, slridfak`i
tlrjkii ciplrpirlasik, dylri alpk`k pkik grkdf ilwksk ikd hldjlrit
pkik kdka 

alji`. Iitlhuakd tkdik plrkdfskdfkd ZZ_ (aghk, stupgr, `ltkrfi), akau


auiua, pldidfaktkd rlb`la tldigd, trlhgr, al`lhkckd gtgt ikd akikdf-
akikdf al`uhpuckd. Hlsaipud pldylmkmdyk mlrmlik, fljk`k
a`idis Ldslbk`itis `lmic aurkdf skhk ikd acks slcidffk ikpkt iifudkakd
slmkfki aritlrik iikfdgstia. Zljkrk uhuh fljk`k mlrupk triks
Ldslbk`itis ykdf tlriiri ikri ilhkh, aljkdf ikd pldurudkd alskikrkd
(Il`k, =0;>)
Fljk`k ykdf iik`khi g`lc pksild ykdf hldilritk hldidfgldslbk`itis, kdtkrk
`kid5 fkdffukd alskikrkd, ilhkh, skait alpk`k, aljkdf, ikd plrumkckd plri`kau,
slrtk ildfkd ktku tkdpk ilbisit dlurg`gfi bgak`.; Aljkdf ykdf tlrjkii tlrakikdf
su`it iiktksi slcidffk ikpkt hldjkii stktus lpi`lptiaus. Ztktus lpi`lptiaus
hlrupkakd sk`kc sktu alfkwktikrurktkd dlurgpliiktria ykdf slridf
tlrjkii. Ztktus lpi`lptiaus iitkdiki ildfkd aljkdf ykdf mlr`kdfsudf tlrus
hldlrus sl`khk ≬ :0 hldit ktku aljkdf mlru`kdf tkdpk iislrtki pu`icdyk
alskikrkd

iikdtkrk aljkdf tlrslmut (Lvkdi, =0;>).


B. Aghp`iaksi
;. Hldidfitis
Aghp`iaksi ykdf ikpkt hudju` pkik kdka ildfkd hldidfitis kdtkrk `kid.
k. Hudju`dyk jkirkd pkik `kpiskd sumiurk` (lbusi sumiurk`). Jkirkd
idi hudju` akrldk kikdyk ilskakd pkik idtrkarkdik` ykdf
hldidfakt slcidffk hlhudfaidakd `g`gsdyk jkirkd ikri `kpiskd gtka
al iklrkc sumiurk`.
 m. _lrkikdfkd pkik iklrkc vldtriau`lr gtka (vldtriau`itis). Kmsls pkik

hldidfld ikpkt skhpki al jkridfkd arkdik` `kid mkia


hl`k`ui
 plrlhmltkd `kdfsudf hkupud clhktgfld tlrhksua al vldtriau`lr.
j. Ciirgslpk`us. _lrkikdfkd pkik hldidfld ikpkt hlrkdfskdf aldkiakd
 prgiuasi @iqugr Jlrlmrg Zpidk` (@JZ). Jkirkd @JZ pkik hldidfitis
`lmic aldtk` slcidffk hlhudfaidakd tlrjkiidyk suhmktkd pkik
sk`urkd @JZ ykdf hlduju hliu``k spidk`is. Jkirkd tlrslmut kacirdyk
 mkdyka tlrtkckd ii idtrkjrkdik`.
i. Kmsls gtka. Kmsls gtka tlrjkii kpkmi`k idblasi suikc hldylmkr al
gtka  akrldk hldidfitis tiika hldikpkt pldfgmktkd ikd
pldktk`kaskdkkd

ykdf tlpkt.
l. ]ltkriksi hldtk`. ]ltkriksi hldtk` alhudfaidkd tlrjkii
akrldk hldidfitis ykdf suikc hldylmkr al slrlmruh slcidffk
hldffkdffu
 fyrus gtka kdka slmkfki tlhpkt hldyihpkd hlhgri.
b. Zlrkdfkd hldidfitis mlru`kdf. Agdiisi idi tlrjkii akrldk
pldfgmktkd ykdf tiika tudtks ktku hiarggrfkdishl ykdf suikc
rlsistld tlrckikp kdtimigtia ykdf iifudkakd udtua pldfgmktkd.
=. Ldslbk`itis
Fljk`k sisk hkupud aghp`iaksi akrldk Ldslbk`itis ikpkt hl`imktakd
susudkd skrkb puskt ikpkt hldfldki aljlrikskd, hgtgris, psiaiktris,

lpi`lptia, pldf`icktkd ikd pldildfkrkd, sistlh akriigvksau`lr, idtrkgau`lr,


 pkru, ckti ikd sistlh `kid ikpkt tlr`imkt sljkrk hldltkp.
Aghp`iaksi pkik mkyi mikskdyk mlrupk ciirgslbk`us, lpi`lpsi, rltkriksi
hldtk` akrldk alruskakd ZZ_ mlrkt. Aghp`iaksi ykdf tlrjkii
pkik Ldslbk`itis kik`kc 5 pksild ikpkt hldfk`khi altiikahkhpukd
plrhkdld, alruskakd gtka ktku hldidffk` kaimkt ldslbk`itis ikd ikpkt
tihmu` aljkdf (Il`k, =0;>).
F. _ldktk`kaskdkkd
;. Hldidfitis

_ldktk`kaskdkkd hliis ykdf sljkrk uhuh ykdf ii`kauakd ii ruhkc skait


hldurut Dlrk, (=0;>). kdtkrk `kid 5
k. _lhmlrikd jkirkd idtrkvldk. _i`ickd kwk` ykdf mlrsibkt isgtgdia
slplrti kslridf ktku ridflr `katkt ildfkd igsis ykdf iiplrtihmkdfakd
hl`k`ui
 pldurudkd mlrkt mkikd kdka ktku tidfakt ilfiirksi ykdf iimlriakd
akrldk pkik kdka ykdf hldilritk hldidfitis slridf iktkdf ildfkd
 pldurudkd alskikrkd akrldk alaurkdfkd jkirkd kaimkt hudtkc,
 pldfl`ukrkd jkirkd hl`k`ui prgsls lvkpgrksi kaimkt ciplrtlrhik ikd
idtkal jkirkd ykdf aurkdf kaimkt alskikrkd ykdf hldurud.

 m. _lhmlrikd iikzlpkh kpkmi`k kdka hldfk`khi aljkdf. Igsis


kwk` iimlriakd iikzlpkh 0,< hf/Af MM/ak`i plhmlrikd hl`k`ui
idtrkvldk.
Zltl`kc aljkdf ikpkt iiktksi hkak iimlriakd bldgmkrmitk` ildfkd igsis
kwk` pkik dlgdktls :0h, kdka aurkdf ikri ; tkcud <0 hf slikdfakd
kdka ykdf `lmic ikri ; tkcud 6< hf. \dtua ruhktkddyk iimlriakd
bldgmkrmitk` 3-;0 hf/Af MM/ ii mkfi ik`kh iuk ak`i
plhmlrikd iimlriakd sl`khk iuk ckri. Zlikdfakd plhmlrikd
bldgmkrmitk` iuk ckri
 mlriautdyk igsis iiturudakd hldjkii 9-< hf/Af MM/ iimkfi iuk ak`i
 plhmlrikd. _lhmlrikd iikzlpkh sl`kid udtua hldurudakd aljkdfjufk

iickrkpakd ikpkt hldurudakd sucu tumuc akrldk sl`kid cksi` tgasia 


auhkdpldidfaktkd sucu tumuc mlrksk` ikri agdtrkasi gtgt
kaimkt aljkdf.
j. _lhmlrikd kdtimigtia ykdf slsuki ildfkd hiarggrfkdishl pldylmkm.

Kdtimigtia ykdf slridf iipkaki kik`kc khpisi`id ildfkd igsis :00-900


hf/AfMM iimkfi ik`kh ldkh igsis plhmlrikd sljkrk
idtrkvldk
iiaghmidksiakd ildfkd a`grkhbldiag` <0 hf/AfMM iimkfi
ik`kh lhpkt igsis plhmlrikd. _lhmlrikd kdtimigtia idi ykdf pk`idf
rksigdk` hl`k`ui au`tur ikri pldfkhmi`kd jkirkd slrlmrgspidk` hl`k`ui
pudfsi
`uhmk`.
i. _ldlhpktkd pkik rukdf ykdf hidihk` rkdfskdfkd slplrti
rkdfskdfkd sukrk, jkckyk ikd rkdfskdfkd pg`usi. ]kdfskdfkd
ykdf mlr`lmickd ikpkt hlhmkdfaitakd aljkdf pkik kdka akrldk
pldidfaktkd rkdfskdf

ilpg`krisksi dlurgd ykdf ikpkt mlr`kdfsudf jlpkt.


l. _lhmlmkskd jk`kd dkpks ildfkd hldfciskp `ldiir hl`k`ui sujtigd
ikd hlhpgsisiakd kdka pkik pgsisi alpk`k hiridf ciplrlastldsi.
Yidikakd
 plhmlmkskd jk`kd dkpks iipkiu ildfkd plhmlrikd gasifld
udtua  hldiuaudf almutuckd hltkmg`ish ykdf hldidfakt
sl`kid itu hudfaid jufk tlrjkii ilprlsi puskt plrdkpkskd akrldk
pldidfaktkd tlakdkd idtrkjrkdik` slcidffk plri` iimlriakd gasifld
mlrtlakdkd `lmic tidffi ykdf `lmic huikc hksua al sk`urkd
plrdkpkskd. _lhmlrikd gasifld pkik kdka hldidfitis iikdjurakd
agdsldtrksi ykdf hksua misk

tidffi hl`k`ui hksalr gasifld.


=. Ldslbk`itis
_ldilritk mkru ildfkd alhudfaidkd Ldslbk`itis ckrus iirkwkt
idkp skhpki hldfci`kdfdyk fljk`k-fljk`k dlurg`gfia. Yujukd
pldktk`kaskdkkd kik`kc hlhplrtkckdakd budfsi grfkd ildfkd
hldfuskckakd jk`kd dkbks tltkp tlrmuak, plhmlrikd hkakdkd ldtlrk`
ktku pkrldtlrk`, hldjkfk alslihmkdfkd jkirkd ikd l`latrg`it ikd
agrlasi fkdffukd kskh mksk ikrkc.
Yktk`kaskdk ykdf iialrjkakd slmkfki mlriaut 5
k. Hldfktksi aljkdf kik`kc tidikakd vitk`, akrldk aljkdf
pkik Ldslbk`itis mikskdyk mlrkt. _lhmlrikd
Bldgmkrmitk` <-3 hf/afMM/=9 jkh. Eiak aljkdf slridf
tlrjkii, plr`u iimlriakd

Iikzlpkh (0,;-0,= hf/afMM) NR, ik`kh mldtua idbus sl`khk :


hldit.
 m. Hlhplrmkiai cghlgstktis, ildfkd idbus jkirkd I< - ;/= Z
ktku I<-;/9 Z (tlrfkdtudf uhur) ikd plhmlrikd gasifld.
j. Hldfurkdfi lilhk slrlmri slrtk hldfurkdfi kaimkt
ykdf iitihmu`akd g`lc kdgasik slrlmri ildfkd Ilaskhltksgd
0,;<-;,0 hf/afMM/ckri/ NR iimkfi ik`kh : igsis.
i. Hldurudakd tlakdkd idtrkarkdik` ykdf hldidffi ildfkd
Hkditg` iimlriakd idtrkvldk ildfkd igsis ;,<-=,0 f/afMM
sl`khk :0-20

hldit. _lhmlrikd ikpkt iiu`kdf sltikp 3-;= jkh. Ikpkt


jufk ildfkd F`islrg`, hl`k`ui pipk dksgfkstria, 0,<-;,0
h`/afmm
iildjlrakd ildfkd iuk mkfikd skri jlrua. Mkckd idi tiika tgasia 
ikd ikpkt iiu`kdfi sltikp 2 jkh udtua wkatu `khk.2
l. _ldfgmktkd5\dtua pldfgmktkd ikpkt iimkfi hldjkii =
hkjkh tlrkpi 5 tlrkpi akusktib ikd tlrkpi sihptghktis.
C. _lhlriaskkd _ldudjkdf
;. Hldidfitis
_lhlriaskkd pldudjkdf ykdf ikpkt ii`kauakd mlrupk pudsi `uhmk`, JY-

sjkd, H]N ikd plhlriaskkd `kmgrktgriuh


k. _udsi `uhmk`
_udfsi `uhmk` ktku kdk`isis jkirkd ikd au`tur jkirkd
slrlmrgspidk` hksic hldjkii hltgil ilbidit ik`kh hldidfitis.
_krkhltlr ykdf iiplriask pkik pudfsi `uhmk` kik`kc gpldidf
prlssurl, juh`kc sl` ikrkc putic, f`uagsk, prgtlid ikd plhlriaskkd
hiargmig`gfi
 m. JY Zjkd
JY Zjkd alpk`k ikpkt ii`kauakd pkik pksild ildfkd
aljurifkkd kikdyk idblasi mkatlri ktku  spkjl gjjupyidf `lssigd.
_kik idblasi
 mkatlri, mlmlrkpk pksild kakd hlhplr`icktakd kikdyk hldidflk`
kdckdjlhldt. Hldurut Ndbljtigd Iislksl Zgjilty gb Khlrijk, JY Zjkd
slmkiadyk tiika hldudik plhlriaskkd pudsi `uhmk`.
Mlmlrkpk agdiisi ykdf hldfckrusakd sarididf JY Zjkd slml`uh
pudfsi `uhmk`

kik`kc stktus pksild  ihhudgjghprghisl, aljkdf ik`kh ; hidffu,


 pkpi``lilhk ikd ilbisist dlurg`gfis bgak`
j. _lhlriaskkd ikrkc
_lhlriaskkd ikrkc tiika splsibia iifudkakd udtua
hldiikfdgsis hldidfitis. Au`tur ikrkc ikpkt ii`kauakd udtua
hldfagdbirhksi idblasi mkatlri, tlrutkhk pldykait hldidfgjgjjk`.
=. Ldslbk`itis
k. _lhlriaskkd jkirkd slrgmrgspidk`
 m. _lhlriaskkd ikrkc `ldfakp

j. _lhlriaskkd blsls
i. _lhlriaskkd slrg`gfia ikrkc (RI]@, Y_CK)
l. _lhlriaskkd titlr kdtimgiy
b. LLF
f. Bgtg tcgrkx
c. Bgtg rgldtfld alpk`k
i. JY-Zjkd Krtlrigfrkbi
N. _ktc wky
;. Hldidfitis
=. Ldslbk`itis

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